Join The Network

Thank you for interest in the Build M Biz Program! Please fill out this form so we can learn more about you and keep you updated on the launch of the Build My Biz Program. We'll reach out once enrollment opens.

Contact Information

First name

Last name

Email Address

Phone Number (optional

Business Details

Business Name (If Applicable)

Stage of Business

Industry or Type of Business

Program Interest

Why Are You Interested in Joining the Build My Biz Program? Check all that apply

I need help refining my business idea.

I want to learn how to market and sell effectively.

I need assistance with operations and financial management.

I’m looking for mentorship and networking.

I want to scale my existing business.

Other

What Are Your Top Goals or Areas of Focus?

When are you hoping to start or continue your business development?

Immediately (Within 1–3 months)

Sometime This Year

Next Year

Other

Additional Information

Is there anything specific you’d like us to know or any questions you have for us?

How Did You Hear About Us?

At this Holiday & Networking Event

Social Media (Instagram, Facebook, LinkedIn, etc.)

Referral from a friend/family

Agreement and Follow-Up

By submitting this form, you acknowledge that your information will be used to keep you updated on the Build My Biz Program, upcoming events, and any other related opportunities. We respect your privacy and will not share your information with third parties without your consent.

I agree to receive email and/or phone updates regarding the Build My Biz Program.

Sign and Submit

Signature

Today’s Date